ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is assessing a newborn who is 24 hr old. The nurse notes a pink papular rash with vesicles superimposed on the thorax, back, and abdomen.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The described rash is characteristic of erythema toxicum, a benign newborn condition requiring only documentation.
Extract:
A nurse is caring for a client who is in labor and has an epidural for pain relief. The client's blood pressure is 88/50 mm Hg and the fetal heart rate is 140/min with minimal variability and late decelerations.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Hypotension and late decelerations suggest maternal and fetal compromise; notifying the provider ensures timely intervention.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and who has suspected placenta previa. The client is admitted with bright red vaginal bleeding and no abdominal pain.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Betamethasone promotes fetal lung maturity in case of preterm delivery, indicated for placenta previa with bleeding at 36 weeks.
Extract:
A nurse in the newborn nursery is caring for a group of newborns.
Question 4 of 5
Which of the following newborns requires immediate intervention?
Correct Answer: D
Rationale: Delayed meconium passage beyond 24 hours may indicate bowel obstruction, such as Hirschsprung's disease, requiring immediate evaluation.
Extract:
A nurse is preparing to administer vitamin K by IM injection to a newborn.
Question 5 of 5
The nurse should administer the medication into which of the following muscles?
Correct Answer: C
Rationale: The vastus lateralis is a safe, accessible site with adequate muscle mass for IM injections in newborns.